Provider Demographics
NPI:1649812900
Name:CLAEYS, CHERRIE DAWN
Entity type:Individual
Prefix:
First Name:CHERRIE
Middle Name:DAWN
Last Name:CLAEYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 STAGECOACH AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-6970
Mailing Address - Country:US
Mailing Address - Phone:563-320-3327
Mailing Address - Fax:
Practice Address - Street 1:118 STAGECOACH AVE
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-6970
Practice Address - Country:US
Practice Address - Phone:563-320-3327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide